Southport Cardiovascular Surgeons LLC
Southport Cardiovascular Surgeons LLC is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Paddock Lake, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.
- Licensed in
- WI
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7137 236th Ave #103Paddock Lake, WI 53168
Phone: (262) 843-4422
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) | Taxonomy 208G00000X · Licence 38886 (WI) |
|---|
Record details
| NPI number | 1063894723 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christopher Stone — Owner · (262) 843-4422 |
| NPI enumerated | June 18, 2015 |
| Last updated in NPPES | June 18, 2015 |
| Mailing address | 7137 236th Avenue, 103, Paddock Lake, WI 53168 |